|Publication number||US7193169 B2|
|Application number||US 10/974,150|
|Publication date||Mar 20, 2007|
|Filing date||Oct 27, 2004|
|Priority date||Oct 29, 2003|
|Also published as||US20050109595|
|Publication number||10974150, 974150, US 7193169 B2, US 7193169B2, US-B2-7193169, US7193169 B2, US7193169B2|
|Inventors||Victor B. Mezhinsky, Steven T. Charles|
|Original Assignee||Alcon, Inc.|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (43), Referenced by (9), Classifications (7), Legal Events (4)|
|External Links: USPTO, USPTO Assignment, Espacenet|
This application claims priority from Provisional U.S. Patent Application No. 60/515,255, filed Oct. 29, 2003.
This invention relates to footswitches; more particularly, the present invention relates to footswitches typically used to operate equipment associated with the treatment of a patient.
During the operation of complex equipment used to treat a patient; for example, in a delicate surgical procedure such as ophthalmic surgery, a surgeon, physician, dentist, or veterinarian may use a variety of pneumatic and electronically driven handpieces. The handpieces are operated by a variety of control systems. The control systems, in turn, receive inputs from a variety of different peripheral devices configured to receive manual control inputs.
One of the most important manually controlled peripheral devices is a footswitch. Exemplary footswitches are disclosed in a variety of U.S. patents, including U.S. Pat. No. 4,837,857 (Scheller, et al.), U.S. Pat. No. 4,965,417 (Massie), U.S. Pat. No. 4,983,901 (Lehmer), U.S. Pat. No. 5,091,656 (Gahn), U.S. Pat. No. 5,268,624 (Zanger), U.S. Pat. No. 5,554,894 (Sepielli), U.S. Pat. No. 5,580,347 (Reimels), U.S. Pat. No. 5,635,777 (Telymonde, et al.), U.S. Pat. No. 5,787,760 (Thorlakson), U.S. Pat. No. 5,983,749 (Holtorf), and U.S. Pat. No. 6,179,829 B1 (Bisch, et al.), and in International Patent Application Publications Nos. WO 98/08442 (Bisch, et al.), WO 00/12037 (Chen), and WO 02/01310 (Chen).
The aforementioned exemplary patents and patent applications focus primarily on the operability or functional attributes of footswitches—not on the ergonomic usability of a footswitch. Accordingly, it is not unusual for an operator of a prior art footswitch to experience foot and/or leg fatigue, particularly when performing repetitive motions over a long period of time. This foot and leg fatigue affects the ability of a physician, surgeon, dentist, or veterinarian to properly control motion inputs to the footswitch. In extreme circumstances, the result of operator fatigue may be inadvertent improper operation of a handpiece. Such improper operation could be injurious to the patient.
Therefore, a need remains in the art to provide a footswitch for use by a physician, surgeon, dentist, or veterinarian whose operation is ergonomically designed. Such ergonomic design will reduce foot and leg fatigue and thereby reduce the risk of inadvertent patient injury.
The present invention provides a footswitch for use by physicians, surgeons, dentists, veterinarians, and the like. The disclosed footswitch is ergonomically designed for reducing foot and leg fatigue.
The disclosed footswitch allows for motion of the operator's leg and knee which is less fatiguing. This less fatiguing motion comes from co-locating the treadle axis of rotation with the substantially horizontal rotational axis of the operator's ankle. By co-locating the treadle axis of rotation with the substantially horizontal axis of the operator's ankle, the rotation of the operator's foot allows for both up and down control movements. Such up and down control movements may then be used to control the operation or motion of a variety of microsurgical instruments.
A better understanding of the ergonomic footswitch of the present invention and the following description of the embodiments may be held by reference to the drawings wherein:
As best seen in the perspective view of the footswitch 10 shown in
As best shown in
Friction forces between the perimeter 24 of the arcuate projection 22 and the contour 26 of the arcuate depression 28 may be reduced by the use of anti-friction roller bearings 30 which ride on the contour 26 of the arcuate depression 28 in the space between the arcuate projection 22 and the contour 26 of the arcuate depression 28. Those of ordinary skill in the art will understand that other anti-friction force systems may be used, such as a low-friction coating made from a low-friction material such as TeflonŽ.
In the illustrated embodiment, the arcuate depression 28 includes a longitudinal slot 32 formed therein. This longitudinal slot 32 provides an opening through which an arcuate gear sector 34 may pass. The arcuate gear sector 34 is positioned to engage a mating gear 36, such as a spur gear, affixed to a shaft 38 extending from a motor encoder or potentiometer 40. Thus, when the shaft 38 is caused to rotate in a clockwise direction by the interaction of the arcuate gear sector 34 with the mating gear 36, a first electrical signal is produced. When the shaft 38 is caused to rotate in a counter-clockwise direction, a second electrical signal is produced. The electrical signal produces a predetermined response in the handpiece being used by the operator. For example, the movement of the foot pedal or tiltable treadle 14 may control the speed of a drill motor in the hands of a dentist, the reciprocal action of a forceps or scissors mechanism, or the operation of a vitrectomy probe in the hands of an ophthalmic surgeon, or the intensity of a light source in the hands of a physician.
Optionally, a spring bias mechanism 42 may be used to provide mechanical feedback of the amount of deflection or pitch movement of the foot pedal or tiltable treadle 14 from a home or neutral position. Or the spring bias 42 may simply be used to return the foot pedal or tiltable treadle 14 to a home or neutral position when the procedure requiring the use of the footswitch 10 has been completed. While a mechanical spring 42 is shown in
As may be best seen in
Placement of the foot pedal or tiltable treadle 14 on the base 12 to enable movement about the substantially horizontal rotational axis of the operator's ankle 100 provides three advantages. First, foot and leg fatigue are reduced, as the operator's foot is caused to move about the ankle's natural axis of rotation. Second, the disclosed footswitch 10 may be used to provide a first input by applying pressure to change the pitch of the tiltable treadle 14 by moving the front of the foot pedal or tiltable treadle 14 down, and a second input by applying pressure to change the pitch of the tiltable treadle 14 by moving the rear of the foot pedal or tiltable treadle 14 down. Third, because the key geometric relationship is placement of the substantially horizontal rotational axis 100 of the operator's ankle over the low point of the foot pedal or tiltable treadle 14, there is no need for special adjustments to accommodate the length of or width of the operator's foot.
The simplicity of construction of the disclosed footswitch provides greater reliability. The low profile and footprint of the base 12 enables greater stability and rigidity as well as giving the disclosed footswitch a lower profile and smaller size.
In an alternative embodiment, the distance between the upper surface and the operator ankle axis can be made to be adjustable to customize the footswitch for those individuals who must use the disclosed footswitch for long periods of time. In yet another alternate embodiment, the distance between the ankle axis and the rear portion of the foot pedal or tiltable treadle 14 may be made to be adjustable to accommodate special-needs operators.
In the preferred embodiment, the contour 26 on the top of the arcuate depression 28 in the base 12 has a radius R from an origin which is co-linear from the operator's ankle 100. It is this radius R which determines the axis of rotation, together with height H. It has been found that a height H of approximately 5 inches will accommodate nearly all potential operators.
While the present system and method has been disclosed according to the preferred embodiment of the invention, those of ordinary skill in the art will understand that other embodiments have also been enabled. Such other embodiments shall fall within the scope and meaning of the appended claims.
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|U.S. Classification||200/200, 200/86.5|
|International Classification||H01H29/16, A61B17/00|
|Cooperative Classification||A61B17/00, A61B2017/00973|
|Jan 21, 2005||AS||Assignment|
Owner name: ALCON, INC., TEXAS
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:MEZHINSKY, VICTOR B.;CHARLES, STEVEN T.;REEL/FRAME:016199/0450;SIGNING DATES FROM 20041111 TO 20041115
|Sep 20, 2010||FPAY||Fee payment|
Year of fee payment: 4
|May 31, 2011||AS||Assignment|
Free format text: MERGER;ASSIGNOR:ALCON, INC.;REEL/FRAME:026376/0076
Effective date: 20110408
Owner name: NOVARTIS AG, SWITZERLAND
|Aug 20, 2014||FPAY||Fee payment|
Year of fee payment: 8